Sandra Jo Garmon

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN9262342 Issued in FL

Practice address

1460 Baytree Dr NE Ste D3
Palm Bay, FL 32905-3900

Phone

(321) 499-4180

Fax

(321) 327-8289

NPI assigned

Oct 18, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1346966637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 BAYTREE DR NE STE D3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053900",
            "telephone_number": "321-499-4180",
            "fax_number": "321-327-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BAYTREE DR NE STE D3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053900",
            "telephone_number": "321-499-4180",
            "fax_number": "321-327-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARMON",
        "first_name": "SANDRA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9262342",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "RN9262342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porsha K Gandy
• Jesus Maria Garcia Jimenez
• Arcilia Judith Garcia, LPN
• Joven T. Garcia, MD
• Maria Irene Garin Spross, DDS
• Elissa Lee Sophia Garrett
• Shelly A Garrow, DPM
• Gary M. Weiss, M.D., P.a.
• Michael M Gaskin, RPH
• Marah-Lya Gauthier

• Administrator Registered Nurse in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Administrator Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.